المؤلفون: Marie-Laure Matthey-Gié, P. Marques-Vidal, Nicolas Demartines, Olivier Gié, Maurice Matter

المصدر: BMC Surgery
BMC surgery, vol. 17, no. 1, pp. 27

مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Surgical morbidity, Harmonic scalpel, Groin, 03 medical and health sciences, 0302 clinical medicine, Radical lymph node dissection, Ultrasonic Surgical Procedures, medicine, Humans, Prospective Studies, 030212 general & internal medicine, Aged, Axilla, Drainage, Female, Lymph, Lymph Node Excision/adverse effects, Lymph Node Excision/instrumentation, Middle Aged, Seroma/etiology, Seroma/therapy, Ultrasonic Surgical Procedures/instrumentation, Lymphatics, Lymph node, business.industry, Radical Lymph Node Dissection, General Medicine, medicine.disease, Surgery, Seroma, Lymphatic system, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Lymph Node Excision, business, Research Article

الوصف: Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection. Patients listed for a RLND or completion lymph node dissection (CLND) were enrolled in a prospective randomized trial to compare the impact of two surgical dissection techniques (USS versus control) on the amount of drained lymph. The lymph drained in 24 h was collected. Our primary endpoint was to compare the daily amount of drained lymph between the two groups. Secondary endpoints were the comparison of drained lymph with the BMI of the patients, the gender and the surgical site (axilla, groin). Eighty patients were randomly assigned to the USS group or the Control (C) group. No difference was measured in the total amount of lymph drained (USS: 2908 ± 2453 ml vs. C: 3898 ± 5791 ml; p-value = 0.382). The result was also similar after adjusting for gender, age, and BMI. A significant higher amount of lymph was measured after inguinal dissection with USS compared to axillary (p

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URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2677cd6d6ff83df866bc94168935124e
https://doi.org/10.1186/s12893-017-0222-1